MR. JACOB KINGSTON, RN

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1366019796

Practice Address

14700 28TH AVE N STE 20
Plymouth, MN 55447

Phone: (763) 559-3779

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 2630 (MN)

Frequently Asked Questions

NPI 1366019796 is the National Provider Identifier for MR. JACOB KINGSTON, RN, a Nurse Anesthetist, Certified Registered provider located in Plymouth, MN. This NPI was enumerated on June 4, 2021.
MR. JACOB KINGSTON, RN practices at 14700 28TH AVE N STE 20, Plymouth, MN 55447.

Quick Facts

NPI
1366019796
Type
Individual
Enumerated
Jun 4, 2021
Last Updated
May 30, 2024

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